Individual
DR. KEITH D MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2270 ASHLEY CROSSING DR STE 110, CHARLESTON, SC 29414-5749
(843) 853-3474
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
15251
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152514
—
SC
01
—
P00834846
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
12/13/2005
Last updated
03/23/2021
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